Customer Service Representative II

Job Summary

Providing exceptional support to members and customers, the full-time remote Customer Service Representative II will handle complex inquiries and issues related to health plan services, ensuring customer satisfaction and compliance with organizational guidelines.

Key responsibilities:

• Manage member inquiries across various service areas, including eligibility, billing, and claims
• Document interactions and coordinate with internal departments to resolve customer concerns effectively
• Promote compliance and maintain confidentiality while delivering high-quality customer service

Required qualifications:

• Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I
• High School Diploma or General Education Diploma (GED) required
• Must pass a Classification Assessment and typing speed test (30 WPM minimum)
• Strong knowledge of systems used within the Member Service Contact Center
• Ability to manage work independently with minimal direction